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1(8)
1(1)
2(2)
3(3)
4(4)
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Form
2379-58
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Age
4
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Weight
8-10
5(5)
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Form
72-365
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Age
5
-
Weight
8-10
6(6)
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Form
4534-04
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Age
4
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Weight
8-10
7(7)
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Form
95-0007
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Age
3
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Weight
8-4
8(9)
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Form
7-55524
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Age
3
-
Weight
8-4
9(10)
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Form
06098-3
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Age
6
-
Weight
8-8
10(11)
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Form
332422
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Age
4
-
Weight
8-10
11(12)
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Form
7879-69
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Age
3
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Weight
8-4